Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GUSTAVUS ADOLPHUS COLLEGE

NPI: 1508911330 · SAINT PETER, MN 56082 · Urgent Care Clinic/Center · NPI assigned 01/24/2007

$65K
Total Medicaid Paid
1,732
Total Claims
1,002
Beneficiaries
8
Codes Billed
2018-10
First Month
2023-10
Last Month

Provider Details

Authorized OfficialDALE, HEATHER (DIRECTOR OF HEALTH SERVICE)
NPI Enumeration Date01/24/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 46 $485.63
2019 88 $984.24
2020 26 $433.53
2021 1,163 $49K
2022 379 $14K
2023 30 $678.61

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 532 256 $37K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 177 105 $12K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 732 386 $11K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 158 135 $2K
90686 56 55 $961.14
90688 50 38 $527.35
0124A 13 13 $458.73
90674 14 14 $428.57